Flight Attendants and respiratory diseases

A history of second hand smoke exposure: are we asking the right questions?

 A history of second hand smoke exposure:
are we asking the right questions?

CranePaperMardi A. Crane-Godreau* and Peter Payne

The 2006 Surgeon General’s Report, “Health Consequences of Involuntary Exposure to Tobacco Smoke” (Surgeon General, 2006) documents the health implications of exposure to SHS, including firm evidence that SHS contributes to coronary and lung disease, lung can- cer, premature death in adults, slow lung development, SIDS, asthma, and ear infections in children, as well as suggestive evidence that implicate SHS in COPD, asthma, breast cancer, and nasal sinus cancer in adults, and leukemia, lymphoma, and brain tumors in children. The report indicates that there is no risk-free level of SHS. Despite evidence that SHS is a risk factor for disease, most healthcare orga- nizations and many physicians fail to ask patients about their history of SHS exposure. The implications of that failure are considerable because knowledge of a patient’s history of SHS exposure enables providers to make better-informed decisions about what to include in each patient’s examination and lab tests, and how to conduct longterm monitoring, as well as alerting the patient to the need for measures to help them avoid further smoke exposure.

Download: A history of second hand smoke exposure: are we asking the right questions?

 

Pulmonary Function Abnormalities in Never Smoking Flight Attendants Exposed to Secondhand Tobacco Smoke in the Aircraft Cabin

Mehrdad Arjomandi, MD 1,3,4, Thaddeus Haight, MA 5, Rita Redberg, MD 1,3, and Warren M Gold, MD 1,2,3
1 UCSF FAMRI Center of Excellence, University of California, San Francisco
2 Cardiovascular Research Institute, University of California, San Francisco
3 Department of Medicine, University of California, San Francisco
4 San Francisco Veterans Affairs Medical Center, University of California Berkeley, California
5 School of Public Health, University of California Berkeley, California

Download the publication: Pulmonary Function Abnormalities In Never Smoking Flight Attendants

Objective: To determine whether the flight attendants who were exposed to secondhand tobacco smoke (SHS) in the aircraft cabin have abnormal pulmonary function.
Methods: We administered questionnaires and performed pulmonary function testing in 61 neversmoking female flight attendants who worked in active air crews before the smoking ban on commercial aircraft (pre-ban).
Results: While the pre-ban flight attendants had normal FVC, FEV1, and FEV1/FVC ratio, they had significantly decreased flow at mid- and low-lung volumes, curvilinear flow-volume curves, and evidence of air trapping. Furthermore, the flight attendants had significantly decreased diffusing capacity (77.5±11.2 %predicted normal) with 51% having a diffusing capacity below their 95% normal prediction limit.
Conclusions: This cohort of healthy never-smoking flight attendants who were exposed to SHS in the aircraft cabin showed pulmonary function abnormalities suggestive of airway obstruction and impaired diffusion.